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A nurse is teaching a client who has a new prescription for oral prednisone about minimizing the adverse effects of the medication. Which of the following statements by the client indicates an understanding of the teaching?

"I will take this medication on an empty stomach."

"I will use aspirin as needed for pain."

"I will reduce my dosage during times of stress."

"I will take a walk every day."

Answer and Explanation

The Correct Answer is D

A. Prednisone should be taken with food to reduce gastrointestinal irritation.

B. Aspirin increases the risk of GI bleeding when taken with prednisone.

C. Prednisone doses should be increased, not reduced, during stress to prevent adrenal insufficiency.

D. This is the correct answer. Weight-bearing exercises like walking help reduce the risk of osteoporosis, a side effect of long-term prednisone use.

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Correct Answer is C

Explanation

A. Protective environment – Incorrect. Protective environment precautions are for immunocompromised clients (e.g., those with neutropenia).

B. Airborne – Incorrect. Airborne precautions are used for tuberculosis, measles, and varicella, not bacterial meningitis.

C. Droplet – Correct. Bacterial meningitis is transmitted through large respiratory droplets, requiring droplet precautions (mask, gown, and gloves when within 3 feet of the client).

D. Contact – Incorrect. Contact precautions alone are insufficient for bacterial meningitis, which spreads via droplets.

A. "Lie down for 30 min after meals." B. "Eat a high-fat snack at bedtime." C. "Sip carbonated beverages throughout the day." D. "Drink hot herbal tea to relieve symptoms."

Correct Answer is C

Explanation

A. Lying down after meals increases reflux by allowing stomach contents to flow back into the esophagus.

B. High-fat foods delay gastric emptying, worsening heartburn.

C. Carbonated beverages may help neutralize stomach acid and provide symptom relief when sipped in moderation.

D. Hot herbal tea can relax the lower esophageal sphincter, exacerbating reflux.

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A nurse is teaching a client who has a new prescription for oral prednisone about minimizing the adverse effects of the medication. Which of the following statements by the client indicates an understanding of the teaching?

Nursing Test Bank

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